Warriors of Hope: ASHAs Need Adequate Remuneration, Pg 8

• Role of ASHA Workers - Accredited Social Health Activists (ASHAs) were introduced in 2005 under the National Rural Health Mission (NRHM).

  • Over 1 million ASHAs serve as a crucial link between rural communities and the public healthcare system.
  • Responsibilities include maternal and child health, sanitation, disease prevention, and monitoring birth & death records.
  • Their role was critical during the COVID-19 pandemic, enhancing their trust and recognition.

• Global Recognition & Impact - WHO Director-General’s Global Health Leaders Award (2022) recognized ASHAs for their contribution to public health.

  • Studies show women linked with ASHAs are 1.6 times more likely to opt for institutional childbirth, improving maternal health outcomes.

• Challenges & Wage Issues - ASHAs are designated as volunteers, limiting their salary between ₹5,000 – ₹15,000/month, with incentives rather than fixed wages.

  • 2018 ASHA Benefit Package introduced accident, death, and disability coverage, but gaps in implementation persist.
  • Heavy workload, long hours, and lack of personal health security create stress and burnout among ASHAs.

• Recognize ASHAs as permanent employees with a fixed salary & social security benefits.

• Ensure timely payments and improved working conditions to prevent exploitation.

• Increase funding in rural health programs to strengthen India’s primary healthcare system.

Mains Mock Question:

ASHAs play a crucial role in India’s rural healthcare system. Discuss their contributions and challenges. Suggest measures to improve their working conditions.